Showing papers in "Medicina Intensiva in 2015"

TL;DR: Pone position ventilation is a safe strategy and reduces mortality in patients with severely impaired oxygenation and should be started early, for prolonged periods, and should been associated to a protective ventilation strategy.

TL;DR: The existing evidence on the use of high-flow oxygen via nasal cannula in adults with acute respiratory failure is reviewed and its possible applications, advantages and limitations are reviewed.

TL;DR: A systematic review of the literature and structured recommendations on their general management on blood volume monitoring, blood products transfusion, and administration of hemostatic components are written.

TL;DR: The existing evidence on the use of high-flow oxygen via nasal cannula in adults with acute respiratory failure is reviewed and its possible applications, advantages and limitations are reviewed.

TL;DR: This work suggests placing emphasis on the use of therapeutic drug monitoring and dose individualization when optimizing therapy in critically ill patients in clinical areas characterized by high antibiotic use, such as the ICU.

TL;DR: La ventilacion en posicion prona es una estrategia segura y disminuye the mortalidad en pacientes adultos con sindrome de dificultad respiratoria aguda vs. supina, y el efectos adversos relacionados with the pronacion fueron el desarrollo de ulceras por presion y obstruccion del tubo orotraqueal.

TL;DR: Ayer hemos realizado una revision narrativa de the literatura con el fin of elaborar unas recomendaciones practicas sobre el empleo de fluidos en the fase of reanimacion del paciente critico adulto y que se presentan in this documento.

TL;DR: La LTSV en las UCI es una practica que se suele llevar a cabo con la decision unanime del equipo medico, se realiza con mas frecuencia en pacientes con comorbilidad grave y no suele deteriorar the relacion with paciente y familiares.

TL;DR: In Spain, 90% of transplants are done with organs taken from patients deceased in brain death but this has a limited potential and it is necessary to reduce family denial and to raise funds to satisfy current organ demand.

TL;DR: La aplicacion of LTSV es frecuente en el paciente neurocritico y, en ocasiones, sin evaluar su potencialidad como donante por the coordinacion of trasplantes, sigue vigente.

TL;DR: Preservation of the efficacy of antibiotics and to stabilization of antibiotic-susceptible bacterial ecosystems should be global goals.

TL;DR: El Doppler transcraneal ayuda a resolver frecuentes problemas diagnosticos, evita un consumo innecesario de recursos and puede optimizar the obtencion of organos para trasplante.

TL;DR: A systematic review of the literature and structured recommendations on their general management on blood volume monitoring, blood products transfusion, and administration of hemostatic components are written.

TL;DR: The drug propranolol atenua la respuesta hipermetabolica del paciente quemado pediatrico y disminuye la termogenesis suprafisiologica, el trabajo cardiaco, el gasto energetico en reposo y the lipolisis periferica.

TL;DR: The main risk factors identified in relation to the prognosis of trauma patients are referred to the presence of head injuries, which underscore the importance of other factors such as lactate concentration.

TL;DR: Los principales factores de riesgo identificados en relacion con el pronostico de los pacientes politraumatizados son los relacionados with the presencia of traumatismo craneoencefalico.

TL;DR: In this paper, the authors investigate the degree of satisfaction of the parents of the patients in the FS-ICU of the University of California, Irvine (UCI) during 5 meses.

TL;DR: In this article, the authors assess and monitor the quality of care in trauma patient through quality indicators, and identify opportunities for improvement whose implementation would improve outcomes in hospital mortality, functional outcomes and quality of life of survivors.

TL;DR: Given its efficacy and ease and speed of administration, intramuscular midazolam is an excellent option for treatment of childhood seizures, enabling earlier treatment and shortening overall seizure duration.

TL;DR: A review of the literature is conducted with a view to developing practical recommendations on the use of fluids in the resuscitation phase in critically ill adults.

TL;DR: The current concept of “cerebral salt wasting” is definitively agreed, which means that whatever is the etiology of hyponatremia, initially in neurocritical care patients the treatment will be the same: hypertonic saline solution.

TL;DR: Assessing and monitoring the quality of care in trauma patient through quality indicators would allow identifyingopportunities for improvement whose implementation would improve outcomes in hospital mortality, functional outcomes and quality of life of survivors.

TL;DR: La potencialidad es mejorable al incrementar la edad de valoracion y disponer de cardiocompresores mecanicos en todas las ambulancias, reduce los tiempos de isquemia caliente mejorando los resultados postrasplante.

TL;DR: The process of developing a recommendations document and the realization of posters of dispatch-assisted cardiopulmonary resuscitation, agreed by different actors and promoted by the Spanish Resuscitation Council, is presented.

TL;DR: It is necessary to reduce family denial and to raise donation in brain death thus generalizing, among other strategies, non-therapeutic elective ventilation, and to reach self-sufficiency by rising organ obtainment.

TL;DR: Por iniciativa del Grupo de Estudios Multidisciplinares sobre Autotransfusion and del Anemia Working Group Espana se reunio a un panel multidisciplinar de 23 expertos del area de cuidados de the salud en un foro de debate para analizar las diferentes alertas de seguridad.

TL;DR: La mortalidad global es superior en pacientes medicos no coronarios (16,6%), andandose la mayor diferencia en aquellos con APACHE II entre 6 y 10: el 3 y el 0,9%, respectivamente; OR: 2,141 (IC del 95%, 1,825-2,513).

TL;DR: Propranolol reduces the hypermetabolic response in pediatric burn patients and increases the efficiency of muscular protein synthesis and reduces central mass accretion.

TL;DR: La presencia of comorbilidades, como the diabetes o el tratamiento previo with anticoagulantes, asi como los hallazgos of the TC se asociaron a peores resultados, mientras that the realizacion of procedimientos neuroquirurgicos and the monitorizacion de the presion intracraneal (PIC) asociated una mayor supervivencia and me